| Onemindonebodyonesouloneg-d, Llc | |
|
1506 Post Rd Fairfield CT 06824-5916 | |
| (475) 999-2180 | |
| Not Available |
| Full Name | Onemindonebodyonesouloneg-d, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1506 Post Rd, Fairfield, Connecticut |
| Authorized Official Name and Position | Michele Soares Valente (PSYCHOTHERAPIST / OWNER) |
| Authorized Official Contact | 4759992180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Onemindonebodyonesouloneg-d, Llc 95 Robert Treat Dr Apt B Milford CT 06460-8342 Ph: (475) 999-2180 | Onemindonebodyonesouloneg-d, Llc 1506 Post Rd Fairfield CT 06824-5916 Ph: (475) 999-2180 |
| NPI Number | 1861150997 |
|---|---|
| Provider Enumeration Date | 12/06/2021 |
| Last Update Date | 05/16/2022 |
| Certification Date | 05/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861150997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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